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Pneumococcal and Influenza Vaccination Coverage in Patients with Heart Failure: A Systematic Review
Dimitrios Papagiannis1, Christos Kourek2, Alexandros Briasoulis3
1Public Health & Adults Immunization Lab, Department of Nursing, School of Health Sciences, University of Thessaly, 41110 Larissa, Greece.
Heart failure patients need better pneumococcal and influenza vaccination coverage. This review found varied coverage rates but generally positive effects on survival and reduced hospitalizations for vaccinated individuals.
Area of Science:
- Cardiology
- Infectious Diseases
- Public Health
Background:
- Heart failure patients are highly susceptible to respiratory infections.
- These infections can worsen cardiovascular conditions, leading to severe complications or death.
- Optimizing pneumococcal and influenza vaccination is crucial for this vulnerable group.
Purpose of the Study:
- To systematically review vaccination coverage for influenza and pneumococcus in heart failure patients between 2005 and 2023.
- To evaluate the impact of these vaccinations on survival and hospitalization rates.
Main Methods:
- Systematic review conducted following PRISMA guidelines.
- Searches performed in PubMed and Scopus databases.
- Analysis of 23 studies involving over 6 million participants.
Main Results:
- Influenza vaccination coverage varied widely (2.5%–97%).
- Pneumococcal vaccination coverage ranged from 20% to 84.6%.
- Most studies indicated that vaccination improved survival and reduced hospitalizations.
Conclusions:
- Significant variability exists in pneumococcal and influenza vaccination coverage among heart failure patients.
- Vaccination appears beneficial for improving outcomes in this population.
- Further efforts are needed to increase vaccination rates in heart failure patients.
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